Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,464.10 / $3,271.70 / $14,482.00	Facility		$1,464.10	$3,271.70	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,464.10 / $1,502.00 / $5,520.21	Professional		$1,464.10	$1,502.00	$5,520.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $16,401.00 / $25,162.36	Facility		$11,499.00	$16,401.00	$25,162.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,547.17 / $4,319.33 / $11,845.08	Professional		$1,547.17	$4,319.33	$11,845.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,104.60 / $4,796.55 / $7,736.67	Facility		$4,104.60	$4,796.55	$7,736.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,908.18 / $6,152.01 / $6,990.93	Professional		$2,908.18	$6,152.01	$6,990.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,464.10 / $2,166.04 / $3,126.29	Facility		$1,464.10	$2,166.04	$3,126.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,599.50 / $2,865.25 / $7,700.00	Facility		$1,599.50	$2,865.25	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,845.97 / $4,122.75 / $11,805.87	Professional		$1,845.97	$4,122.75	$11,805.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.65 / $1,387.53 / $3,694.59	Professional		$169.65	$1,387.53	$3,694.59
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,464.10 / $2,166.04 / $3,126.29	Facility		$1,464.10	$2,166.04	$3,126.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,404.70 / $5,238.00 / $6,909.09	Professional		$3,404.70	$5,238.00	$6,909.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23,693.88 / $23,693.88 / $23,693.88	Facility		$23,693.88	$23,693.88	$23,693.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,090.73 / $7,650.85 / $14,521.57	Professional		$3,090.73	$7,650.85	$14,521.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,507.80 / $5,507.80 / $5,507.80	Professional		$5,507.80	$5,507.80	$5,507.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,303.73 / $9,212.09 / $9,212.09	Professional		$5,303.73	$9,212.09	$9,212.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,740.82 / $4,698.60 / $7,732.87	Professional		$1,740.82	$4,698.60	$7,732.87